Basic Information
Provider Information
NPI: 1104357839
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: ALBERTO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10104 SW 139TH PL
Address2:  
City: MIAMI
State: FL
PostalCode: 331866839
CountryCode: US
TelephoneNumber: 7869534161
FaxNumber:  
Practice Location
Address1: 7031 SW 62 AVE
Address2: LARKIN HOSPITAL/MEDICAL PSYCHIATRY
City: MIAMI
State: FL
PostalCode: 33143
CountryCode: US
TelephoneNumber: 3052847659
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/24/2017
LastUpdateDate: 05/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084P0800XME143278FLY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
207Q00000XME143278FLN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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